JAGAN KOTHAPALLY (M.D.) – Nephrology Physician, NPI 1649385733

JAGAN KOTHAPALLY (M.D.) is a healthcare provider. based in Orange park, Florida. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME115829 (FL). The NPI Number for JAGAN KOTHAPALLY (M.D.) is 1649385733

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JAGAN KOTHAPALLY (M.D.)
NPI
1649385733
Phone
(904) 529-5252
Address
2140 KINGSLEY AVE STE 10
Enumeration Date
20 August 2006
Last Update Date
7 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045295252
Graduation Year
2003 (23 years ago)
PAC ID
1153473871
Group Practice PAC ID
7012981350
Professional Enrollment ID
I20130708000569
Address ID
FL320735129OR2140XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

332 NEPHROLOGY in VA

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Provider Addresses for JAGAN KOTHAPALLY (M.D.)

  • 10, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320735129

    Phone: (904) 529-5252

    Fax: (904) 529-5253

    Type: Mailing

  • 2091, Langhorne Road, Dearington, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 24501

    Phone: (434) 947-3954

    Fax: (434) 947-5944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Baxter Healthcare ($91).

Total Amount

$91

General + Research + Ownership

Payments

1

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$91
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130708000569INephrologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,996233$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes507121$0
99214Established patient office or other outpatient visit, 30-39 minutes433147$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes208160$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)16451$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Provider's Procedures

JAGAN KOTHAPALLY (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYVA90935Hemodialysis procedure with one physician evaluation45068

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012981350View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nephrology, Nephrology, HospitalistFL
N E P H R O L O G YFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Nurse PractitionerFL
Nephrology, Internal MedicineFL
N E P H R O L O G YIA
Nephrology, Internal MedicineFL
N E P H R O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for JAGAN KOTHAPALLY (M.D.) in U.S. healthcare records?
The official identifier for JAGAN KOTHAPALLY (M.D.) is NPI 1649385733.
Would JAGAN KOTHAPALLY (M.D.) appear as active to a payer?
You can treat JAGAN KOTHAPALLY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JAGAN KOTHAPALLY (M.D.)?
JAGAN KOTHAPALLY (M.D.)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAGAN KOTHAPALLY (M.D.)?
Travel planning: use Orange Park, Florida as the reference point for JAGAN KOTHAPALLY (M.D.), then confirm.
Can I trust this NPI listing for JAGAN KOTHAPALLY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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